In this first wave of studies, DBT and MBT were established as EBTs. The first wave of studies compared specialized therapies for BPD to TAU. The major randomized controlled studies can be characterized in four major waves (Table (Table1). The Cochrane review of psychological therapies for borderline personality disorder, which analyzed 28 studies published until 2011, is among the most significant additions to the literature on treatments for BPD in the last 5 years. This review will summarize major findings of what works in treatments for BPD, with a special emphasis on developments in the last 5 years.

In contrast, trials testing psychopharmacologic treatments have not yielded consistent results therefore, to date no medication has an official indication for BPD. Five major treatments-DBT, mentalization-based treatment (MBT), schema-focused therapy (SFT), transference-focused psychotherapy (TFP), and systems training for emotional predictability and problem solving (STEPPS) -have been established as evidence based treatments (EBTs) for BPD. Since then, over 13 manualized psychotherapies for BPD have been tested. Twenty-five years ago, Marsha Linehan published the first randomized control trial (RCT) for dialectical behavioral therapy (DBT), which yielded more significant reduction in the disorder’s most challenging features-parasuicidal behavior, inpatient psychiatric stays, and treatment drop out-than treatment as usual (TAU). Once thought to be an untreatable condition, borderline personality disorder (BPD) is now effectively treated by a growing number of evidence based psychotherapeutic treatments.

Rimworld self treatment mod